Inspection Reports for
Oaks at Maple Ridge

4500 S Stadium Dr, Columbus, GA 31909, United States, GA, 31909

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 1.2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

76% better than Georgia average
Georgia average: 4.9 deficiencies/year

Deficiencies per year

4 3 2 1 0
2017
2018
2019
2020
2021

Inspection Report

Routine
Deficiencies: 0 Date: Jul 9, 2021

Visit Reason
The purpose of this visit was to conduct a compliance inspection.

Findings
No rule violations were cited as a result of this visit.

Inspection Report

Routine
Deficiencies: 0 Date: Jul 9, 2021

Visit Reason
The purpose of this visit was to conduct a compliance inspection.

Findings
No rule violations were cited as a result of this visit.

Inspection Report

Routine
Deficiencies: 0 Date: Jul 9, 2021

Visit Reason
The purpose of this visit was to conduct a compliance inspection.

Findings
No rule violations were cited as a result of this visit.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Aug 26, 2020

Visit Reason
The purpose of this visit was to investigate intake #GA00206032.

Complaint Details
Investigation began on 2020-07-01 and was completed on 2020-08-26. No rule violations were found.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report

Monitoring
Deficiencies: 0 Date: Apr 6, 2020

Visit Reason
The purpose of this review is to monitor COVID 19 cases and assess infection control processes.

Findings
The report focuses on monitoring COVID-19 cases and evaluating the facility's infection control procedures.

Inspection Report

Complaint Investigation
Census: 39 Deficiencies: 2 Date: Mar 30, 2020

Visit Reason
The purpose of this visit was to investigate intake #GA00203438, which involved a complaint regarding staffing and protective care at the facility.

Complaint Details
Investigation started on 2020-03-18 and completed on 2020-03-30 regarding intake #GA00203438. Resident #1 eloped on 2020-02-26 at approximately 8:30 p.m. and was returned by law enforcement. The facility had only two staff on duty during the night shift, which was insufficient to meet resident needs. The front door alarm was not active at the time of the incident. Resident #1 was combative upon return and was signed out by family for the night.
Findings
The facility failed to maintain the required minimum on-site staff to resident ratio during waking and non-waking hours, resulting in insufficient supervision. This failure contributed to Resident #1 eloping from the facility and being found off premises by law enforcement. The facility also failed to provide adequate protective care and watchful oversight to meet the needs of residents.

Deficiencies (2)
Failed to provide minimum on-site staff to resident ratio of 1:15 awake direct care staff during waking hours and 1:25 during non-waking hours for residents with minimal care needs.
Failed to provide protective care and watchful oversight meeting the needs of residents, evidenced by Resident #1 eloping and being found off premises.
Report Facts
Resident census: 39 Staff on night shift: 2 Resident assistance levels: 7 Resident assistance levels: 15 Resident assistance levels: 12 Resident assistance levels: 5 Temperature: 49 Temperature: 47 Distance: 500 Distance: 1

Inspection Report

Original Licensing
Deficiencies: 0 Date: Jan 22, 2020

Visit Reason
The purpose of this visit was to conduct the initial inspection of the facility.

Findings
No rule violations were cited as a result of this inspection.

Inspection Report

Follow-Up
Deficiencies: 0 Date: Dec 11, 2019

Visit Reason
The purpose of this visit was to conduct a follow-up to the 2/7/19 compliance inspection and complaint investigation.

Findings
No rule violations were cited as a result of this inspection.

Inspection Report

Complaint Investigation
Deficiencies: 2 Date: Feb 7, 2019

Visit Reason
The purpose of this visit was to conduct the compliance inspection and to investigate intake #GA00194200.

Complaint Details
The visit was triggered by complaint intake #GA00194200. The complaint was substantiated as evidenced by failures in medication documentation and care provision.
Findings
The facility failed to update the Medication Assistance Record (MAR) each time medications were offered or taken for 2 of 8 sampled residents. Additionally, the facility failed to ensure that each resident received adequate and appropriate care and services in compliance with state law for 1 of 8 sampled residents.

Deficiencies (2)
Failed to update the Medication Assistance Record (MAR) each time medication was offered or taken for Resident #2 and Resident #3.
Failed to ensure that Resident #3 received adequate, appropriate care and services in compliance with state law and regulations.
Report Facts
Medications not documented as offered or taken: 8 Sampled residents: 8

Employees mentioned
NameTitleContext
Staff BStated Resident #3 was asleep and medications were not given or re-offered within the scheduled hour.
Staff CAdmitted to forgetting to document medication administration on the MAR.

Inspection Report

Follow-Up
Deficiencies: 0 Date: May 16, 2018

Visit Reason
The purpose of this visit was to conduct a follow-up to the 02/20/18 complaint investigation GA00184815.

Complaint Details
Follow-up to complaint investigation GA00184815; no rule violations cited.
Findings
No rule violations were cited as a result of this inspection.

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: Feb 12, 2018

Visit Reason
The purpose of this visit was to investigate complaint #GA00184815, which involved allegations of abuse and neglect at the facility.

Complaint Details
Complaint #GA00184815 was substantiated based on interviews and record review showing Staff D's abusive behavior toward Resident #1, including racial slurs and threats. Staff D was suspended on 01/29/18 and terminated on 02/01/18. The facility provided additional staff training on 02/09/18.
Findings
The investigation found that the facility failed to protect a resident from mental and verbal abuse by Staff D, who made racially offensive statements and threatened the resident. Staff D was suspended and terminated, and all staff received additional training on abuse and neglect.

Deficiencies (1)
Facility failed to provide each resident the right to be free from mental, verbal, sexual and physical abuse, neglect and exploitation.
Report Facts
Complaint number: 184815 Staff suspension date: Jan 29, 2018 Staff termination date: Feb 1, 2018 Staff training date: Feb 9, 2018

Employees mentioned
NameTitleContext
Staff DNamed in abuse and neglect finding; suspended and terminated for abusive behavior
Staff BWitnessed Staff D's abusive statements
Staff CReported Staff D's threats and behavior toward Resident #1
Staff AFacility staff who suspended and terminated Staff D and oversaw investigation

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: May 22, 2017

Visit Reason
The purpose of this visit was to investigate complaint # GA00174580.

Complaint Details
Complaint # GA00174580 was investigated and found to have no rule violations.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report

Annual Inspection
Deficiencies: 1 Date: Mar 20, 2017

Visit Reason
The purpose of this visit was to conduct the annual inspection of the assisted living facility.

Findings
The facility failed to ensure that all residents were able to transfer from one location to another, specifically for 1 of 4 sampled residents who was chair/bedbound and unable to transfer independently.

Deficiencies (1)
Facility failed to ensure that all residents were able to transfer from one location to another for 1 of 4 sampled residents (#1) who was chair/bedbound and receiving total care.
Report Facts
Sampled residents: 4 Resident #1 admission date: Dec 6, 2014

Employees mentioned
NameTitleContext
Staff DInterviewed regarding Resident #1's inability to transfer

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